Individual
MRS. MELINDA LOU MULKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22568 HOSKINS RD, WILDER, ID 83676-5828
(208) 337-4763
Mailing address
22568 HOSKINS RD, WILDER, ID 83676
(208) 337-4763
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
30218
ID
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
About Stedi
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